NPIMap

Organization Active NPI

Community Residences, Inc

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
National Provider Identifier
1588062830
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY RESIDENCES, INC
Practice address
7477 Baltimore Annapolis Blvd
Suite 203
Glen Burnie, MD 21061-3504
Phone
(410) 760-2250
Fax
(410) 760-6670
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry Hurley
Title
VP of Operations, Cfo
Phone
(703) 842-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7477 Baltimore Annapolis Blvd
Suite 203
Glen Burnie, MD 21061-3504

Mailing address

14160 Newbrook Dr
Suite 100
Chantilly, VA 20151-2297
Phone (703) 842-2300

National Provider Directory

National Provider Directory
Tax ID family
Community Residences Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

14160 Newbrook Dr
Ste 100
Chantilly, VA 20151
Phone (703) 842-2327

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1588062830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 NEWBROOK DR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512297",
            "telephone_number": "703-842-2300",
            "fax_number": "703-842-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 203",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613504",
            "telephone_number": "410-760-2250",
            "fax_number": "410-760-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "VP OF OPERATIONS, CFO",
        "authorized_official_telephone_number": "703-842-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.